Organization
MOMFULLY YOU, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASITY HOLCOMB LPC (THERAPIST)
(731) 612-1417
Entity
Organization
Contact information
Practice address
2250 S VALLEY PKWY APT 4212, LEWISVILLE, TX 75067-2058
(731) 612-1417
Mailing address
PO BOX 293152, LEWISVILLE, TX 75029-3152
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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